Impact of Obesity on Postoperative and Long-term Outcomes in a General Surgery Population: A Retrospective Cohort Study

Background The obesity paradox has been demonstrated postoperatively in several surgical populations, but only a few studies have reported long-term survival. This study evaluates the presence of the obesity paradox in a general surgery population, reporting both postoperative and long-term survival...

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Bibliographic Details
Published in:World journal of surgery 2013-11, Vol.37 (11), p.2561-2568
Main Authors: Valentijn, Tabita M., Galal, Wael, Hoeks, Sanne E., van Gestel, Yvette R., Verhagen, Hence J., Stolker, Robert J.
Format: Article
Language:English
Subjects:
Abdominal Surgery
Baseline Body Mass Index
Body Mass Index
Body Mass Index Category
Cardiac Surgery
Chronic Obstructive Pulmonary Disease
Female
General Surgery
Humans
Length of Stay - statistics & numerical data
Male
Medicine
Medicine & Public Health
Middle Aged
Neoplasms - mortality
Netherlands - epidemiology
Obese Patient
Obesity - complications
Postoperative Complications - mortality
Retrospective Studies
Risk Factors
Surgery
Survival Rate
Thoracic Surgery
Treatment Outcome
Vascular Surgery
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Summary:Background The obesity paradox has been demonstrated postoperatively in several surgical populations, but only a few studies have reported long-term survival. This study evaluates the presence of the obesity paradox in a general surgery population, reporting both postoperative and long-term survival. Methods This retrospective study included 10,427 patients scheduled for elective, noncardiac surgery. Patients were classified as underweight (body mass index (BMI) 
ISSN:0364-2313
1432-2323
DOI:10.1007/s00268-013-2162-y